Individual provider · Type 1 NPI
Tianna Elaine Marie Roig, APN
Family Nurse Practitioner · Bloomington, IL
NPI number
1154930436
Active
Practice location
2200 E Washington St
Bloomington, IL 61701-4364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209.021600 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209021600 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1154930436
Tianna Elaine Marie Roig, APN's National Provider Identifier is 1154930436, issued on Jul 23, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bloomington, IL. The record was last updated on Jun 30, 2025.